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12050 SW MANZANITA COURT 12050 SW MANZANITA COURT AI U ro a ro N C ro 3 to 0 Ln 0 N C I OF' I'lCi(.'RD PECEIPT l,.)F F-AYMENT RECEIPT MC). CHEC+ i�PIOUN'T c,ASH AMOUNT 0. 00 NAME: TRA.16SELL, JANETTF. F'f'O'FIENT DATE. n O5/14 ,'c,n SUPD IV Is I ON PURFICISE Or IVY'MENT PATD FURPOSE 01' F's:-iYMENT AMOUNT PA I D I CAL 1,4 . 150 51' . PUIIA) F:E;F; 0.77. TOTAL AMOLIN11' F-AID 5. 2."ll INSPECTION NOTICE City of Tigard Building Depart nt M P.O Box 23397 1 ` Tigard, Oregon 97223 � •(-�'Y Phone: 639-41751 Type of Inspection Date Requested----- �---_ Time A.M...__ P.M. Address Permit_ Owner-_ ------ ---------- Lot #_ Buildei __ The following Building lode deficiencies of required to be corrected: /-/c Presented to Approved a Insp9ctor Disapproved Date CALL FOR REINSPECTION 0 YES ❑ NO W&=FXw-JLm-"Km- �aw-jLw-.Wqw-AP MECHANICAL CIWOFTIFARD PERMIT WYOF TMRD IDERMIT #. . . . . . . . MEC90 0095 COMMUNITY DEVELOPMENT DEPARTMENT omEawa v'R111. 1:`ERMIT ft. - MEC90-00'.)5 13125 SW Hell Blvd. P.O.Box 23397,Tipful,C"i9on 97,=A6 +li 175 DOTE ISSUED: 05/11/90 SITE 1.2050 SW MANZONITA 13T PARCEL: J.SJ.34CA 00(:10G SUBDIVISION. . . . .. PANORAMA ZONIN(;.- R-4. 5 S 0L..0("K. . . . . . . . . . LOT . . . . . .. . . . . . . . ..5- ............ ........... CLASS OF WORK. . tApp FLOOR FURN. . . .. . EVAP COOLEW3." T'YPE OF USE. . . . 3 SF* UNIT HEATERS. . : VENT FANS. OCCUPANCY GRP. R3 VENTS W/O API"L« VENT SYSTEMS:: STORIES. . . . . . . . .. BOILERS/CUMPRESSORS HOODS. . . . . . . ... FUEL 0-3 HP. . . . : DOMES. TWIN:: -/WOD/ 3-15 HP. . . . « COMML. INCIhIr. MAX INPUTa BTU 15-30 HP. . . REEPAIR UNITS. F IRE' DAMPLRS?. . t 30--50 HP. . . . n WOODSTOVEG. . « 1 GAS PRF:LSSURE. . . « 504- HP. . . . c CLO DRYERS. . NO. OF AIR HANDLING UNITS OTHER UNITS. FURN ( 100K Hl*(.,.- 10000 Cf"l: (:;AS OUT1._ET11-]). FURN )=100K BTU; > 10000 cf1lin Remarks; Owtiler: FEES J 0 N E TTE T R U S C P.f.I... type aniouiit by date reept 12050 SW IIANZANITA CT P A Y 11 $ 1.5. 23 JLH 05/1.2/90 PRM1 $ 14.50 TIGARD OR 972)23 5PCT $ 0. 73 [:Ihone 14 EST P E.L L E:T S 10 V L OMERCION HOMLF- IRES LTD 1.2641. SE DIVISION 1::1ORTt..AND OR 97236--0000 Phc)vie? #1.-. 000-000 0000 1.5. 23 TOTAL. R v?q ft. 4(;4:3:3 REC)UTRE'D INSPECTIONS this permit is issued subject to the regulations contained in the Filial Illspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with Approved plans. This permit will expire if work. is not started within 18@ days of issuance, or if work is suspended for more ....... than 180 days. II ISSUed By f—,3—*9 41.75 w I� I� or aw w w CITY OF TIGARD MECHANICAL PERMIT1,3125 SF7 HALL BLVD. Permit# _ P. O. BOX 2339-01 Iqq y r I V i Table 9A Mechanical Code CITY PRICE AMT TIGARD 017 97223 I 1 -0-- -0- 10.00 (503)639-4175 I1 D ) Permit FecPerm — — -- ---- ria,.we of t)evetolxnenl 2) Supplemental Permit 3.00 i�- - -- - -- t Furnace to 100,000 BTU 6.00 lob Aderess 11 incl.ducts&vents� -- --.. Address t s�YYI[2r� aj�Yr< - Furnace IOO,OOU BTU + -7.50 rax UA 111.4 sp 2) Incl.ducts&vents — — Lw BV�ck Subdivision — —--- r:+me(or v.Arne d bu><ness) 3) Floor Furnace 6.00 . incl.ventPhone 4) Suspended heater,wall heater 6.00 OwnwMa'rN'g AN' or floor mounted heater -+ - � ��-�- Vent not incl.in 3.00 citylstate zip 5) appliance permit t�(aYt� -��-- - Repair of heating,refr ig., — 6.00 Name tet narneW business) 6) cooling,abs2TIion_unit _ } Phare 71 Boiler or comp to 3 HP -- 6.00 MaAuxl Address absorp.unit to 100,000 BTU _ v_ Ck'ctrpant -- _ —�e —-- zip — 6) Boiler or comp to 3 HP-15 I IP 11.00 Citytstate absorp. _ unit to 500,000 BTU Boiler or comp 15-30 HP 15.00 Name 9) absorp.unit 112-1 million_ Boiler or comp to 30-50 HI22.50 Meffin�gAAddress Ph"acl�-�� 10) absorp.unit t -1.75 million _ _ ( ont:actor Boiler or comp to 50 HP 31.50 City/State71p 11) absorp.unit 1,750,000 BTU _ Air handling unit to - u 4.50 ' State Registration N6. Ciry Bus.Tax No. t 2) 10,000 CFM _ 13) Air handling unit 7.50 1 hereh; ac:(nowledge that 1 have read the,appl"tion that the inloimation given is 10,000CFM + o.ec9, t at I am the owner or autlxxized agent of the.owner.Mal plans submitted are in nwnplir• with State laws,Yrat I am registered with the State Nrikiers'Board,that" 14) Non portable 4,50 numtx!r r,,.n is correct.(11 exempt lra:t state tegistiation release give reason below). evaporate cooler _ I I 15) Vent fan connected 3.00----- ---------- --- to a single duct - - ---------- - -- _ 16) Ventilation system not 4.50 included in appliance pe.mit _ - 17) Hood served by 4.50 mechanical exhaust dignakn(owner or- bate 18) Domestic tyle 7.50 Descxibe work ❑ addition alteration O repair 0 incinerator to be done residential Q non-residential U 19) Commercial or industrial 30.00 type incinerator Existing use of Other i.e.,woodstove,water txtildinrg or properly_-_—� -- 20) / 4.50 L/• .o heater,solar,clothes dryers,etc. 1 i Proposed use of building or property_ --- 21) Gas piping one to four outlets 2.00 type of fuel- oil ❑ natural gas ❑ LPG ❑ electric ❑ _- 22) More than 4-per outlet NOTICE — SUB-TOTAL 7j THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - 5%SURCHARGE SIRUCYION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL S a WORK IS COMMENCED. ►' Special Conditions Date issued by- - INSPECTION NOTICE L City of Tigard Building Department - ---i�--__� Box 23397 Tigard, ard, Ore on 97223 Phone: 639-4175 r Type of Inspection Date Requested n ,l /' z'v _. Time A.M. _ P.M. Address _ / mit #_ Owner Lot #_ Builder __. _ .Z Z2 - `t—req � de ta..�c_e� The following Building Code defiCien es are requir d t be corrected: Presented toApproved Inspector _ — Disapproved Date — -- CALL FOR REIN5PF.('TION C7 YES C_.l NO CITY OF TIGARC MECHANICAL PERMIT Receipt# — Permit# Descrlption fable 3A Mechanical Code QTY PRICE AMT City of Tigard 13125 S W. Hall Blvd. 1) Permit Fee 0 0 10.00 P.Q. Box 23397 2) Supplemental Permit 3.00 _Tigard, 97223 639-4175 l ��j. � j"� 1 Furnace to 100,000 BTU 6.00 incl.ducts&vents 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl.vent _ Job Address / 4 Suspended heater,wall heater A 6.00 Address /='U �� i•%�-> 4 �7 ) or floor mounted heater Tax I_ot M 5) Vent not incl.in 3.00 Lot Block subdivision appliance permit Name(or name of business) 6) Repair of heating,refr Ig., 6.00 e IV C cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner r absorp.unit to 100,000 BTU __ Sim 'f�l�xt12c1Y1t �- City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 0 .� �. w absorp.unit to 500,000 BTU Name g) Boiler or comp 15.30 HP 15.00 _absorp,unit 112-1 million Malang Address r'hone 1 U) Boiler or comp to 30-50 HP 22.50 absorp,unit 1 -1.75 million 4_ Contractor ClrytStnle T Zip 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU _ State Registration No �ON Bus.Tax No 12) Air handling I,nit to 4.50 10,000 CFM _ handling 7,50 correct, Air han I hereby acknowledge that I have read this application that the Information given Is 13) 10,han CFM + that I am the owner or auttx rized agent of the owner,that plans submitted are In -- — compliance with State laws.that I am registered with the State Builders Board,that the 14) Non portable 4.50 number given is correct.(11 exempt from Stdte registration picase give reason below). evaporate cooler ` t t-�` ) Vert fan connected � �1 _ l r'b 15 3.00 to a single duct _ -- - 16) Ventilation system not 4.50 included in appliance permit 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) Date 1 B) Domestic type 7.50 Describe work CI addition ❑ alteration 0 repair ❑ incinerator to be done residential Fj non-residential U 1 g) Commercial or industrial 30.00 Existing use of type Incinerator building or properly _/LD 20) Other i.e.,woodstove,water 4.50 A#*-SD Proposed use of heater,66*-,Zia ds dryers,etc. _ building or property_�_.. �1 f'j-� - 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas O LPG C1 electric ❑ 22) More than 4-per outlet NOTICE _ SUB-TOTAL P1 50 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S% 40'SURCHARGE •73 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL. ABANDONED FOR A PERIOD OF 1 BO DAYS AT ANYTIME AFTER WORK IS COMMENCED. TOTAL t Special Conditions rte- l Date issued i/-L11 by. ",M) Address Permit No. Permit charge ,,- Owner Connection fee_ Paid byi, Type of Building _ Date connected ServiceRate Inspection feeLt�`~= �� .�Contractor �-r�-� �d�6__.11...x.l.l�G�a• Paid by ,��.n A•c'/d tt ��-;:- y a t e Size of connection , Assessment Pai3 jl l